Masumoto K, Teshiba R, Esumi G, Nagata K, Nakatsuji T, Nishimoto Y, Yamaguchi S, Sumitomo K, Taguchi T. Duodenal stenosis resulting from a preduodenal portal vein and an operation for scoliosis. World J Gastroenterol 2009; 15(31): 3950-3953 [PMID: 19701980 DOI: 10.3748/wjg.15.3950]
Corresponding Author of This Article
Kouji Masumoto, MD, PhD, Department of Pediatric Surgery, Reproductive and Developmental Medicine, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan. kmasu@pedsurg.med.kyushu-u.ac.jp
Article-Type of This Article
Case Report
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Kouji Masumoto, Risa Teshiba, Genshiro Esumi, Kouji Nagata, Takanori Nakatsuji, Yuko Nishimoto, Tomoaki Taguchi, Department of Pediatric Surgery, Reproductive and Developmental Medicine, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka, Japan
Sadako Yamaguchi, Department of Clinical Nutrition, Kyushu University Hospital, 3-1-1, Maidashi, Higashi-ku, Fukuoka, Japan
Kenzo Sumitomo, Department of Pediatric Surgery, Shimonoseki City Central Hospital, 1-13-1, Koyo-cho, Shimonoseki, Japan
Author contributions: Masumoto K, Nakatsuji T, and Taguchi T took part in management of the treatment and analyzed the data together with other co-authors. All the authors discussed the cause of duodenal stenosis and the patient’s outcome and commented on the manuscript.
Correspondence to: Kouji Masumoto, MD, PhD, Department of Pediatric Surgery, Reproductive and Developmental Medicine, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan. kmasu@pedsurg.med.kyushu-u.ac.jp
Telephone: +81-92-6425573
Fax: +81-92-6425580
Received: June 16, 2009 Revised: July 10, 2009 Accepted: July 17, 2009 Published online: August 21, 2009
Abstract
A preduodenal portal vein (PDPV) is known to be a rare cause of duodenal stenosis. We treated a 22-year-old male patient with malnutrition as a result of PDPV and a previously performed operation for scoliosis, who showed an improvement in quality of life after being treated with a combination of nutritional support and surgery. The patient with PDPV had been admitted to our department with duodenal stenosis, ranging from the first to third portions. He had suffered from vomiting since 1 year of age, and he developed malnutrition during the last 6-mo period after orthopedic surgery for scoliosis. The stenosis was related to both the PDPV and the previously performed operation for scoliosis. After receiving nutritional support for 6 mo, a gastrojejunostomy with Braun’s anastomosis for the first portion and a duodenojejunostomy for the second and third portions were performed. The postoperative course was almost uneventful. Three months later, he was discharged and able to attend university. In patients with widespread duodenal stenosis, there may be a complicated cause, such as PDPV and duodenal stretching induced by previous spinal surgery.
